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For competitive athletes, hexarelin (also called examorelin) is explicitly named as a prohibited growth-hormone-releasing peptide under WADA's Prohibited List in category S2 (Peptide Hormones, Growth Factors, Related Substances and Mimetics), banned at all times as a non-specified substance carrying a default four-year sanction

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10.1016/j.neuroscience.2009.05.025 Neuroscience 41 KirvalidzeM.HodkinsonA.StormanD.FairchildT.BaaM.BeridzeG.et al (2022)

Some lesions first become apparent during infancy

However, this type of treatment may not suit your client if they have had deep vein thrombosis, so you should suggest an alternative treatment